Unknown Individual – Medical Physician Assistant, NPI 1548346166
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2320, Wilma Rudolph Boulevard, Forest Hills, Clarksville, Montgomery County, Middle Tennessee, Tennessee, 37040, United States
CLARKSVILLE, TN 370405821
Phone: (931) 645-1564
Fax: (931) 645-3842
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | TN |
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